The cauda equina syndrome in pregnant woman with a massive disc herniation

Capitán, B. Antón; Torán, Manuel Malillos

doi:10.1016/j.recote.2016.11.001

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A prone patient allows better access; however, the lateral position may prevent abdominal compression [ 13 ]. The prone position is not recommended beyond 12 weeks of gestation [ 13 , 19 ] without using the Relton-Hall Laminectomy frame as it can cause abdominal compression, inciting preterm labour [ 14 , 20 , 21 ].…”

Section: Reviewmentioning

confidence: 99%

Systematic Review and Critical Appraisal of Cauda Equina Syndrome Management During Pregnancy

Egu,

Akintunde,

Adekoya

et al. 2024

Cureus

View full text Add to dashboard Cite

Cauda equina during pregnancy represents a rare entity, with data regarding optimal treatment being very scarce in the pertinent literature. Given the scarcity of current evidence on the topic, this study conducts a systematic review and analysis of existing literature concerning cauda equina syndrome (CES) management in pregnant women. A comprehensive search was performed across multiple databases, yielding 26 level IV peer-reviewed articles that met the inclusion criteria. These studies collectively encompassed 30 pregnant patients with CES, with a mean age of 31.2 years and an average gestational age of 26 weeks. Disc herniation emerged as the primary cause in 73% of cases. Regarding surgical interventions, the prone position was utilised in 70% of cases, with 73% receiving general anaesthesia. Notably, third-trimester spinal surgeries exhibited a higher complete recovery rate compared to earlier trimesters. Minimally invasive spinal surgery demonstrated superior outcomes in terms of complete recovery and reduced risk of persistent post-operative symptoms when compared to open approaches. Moreover, patients undergoing caesarean section (CS) after spinal surgery reported higher rates of symptom resolution and lower symptom persistence compared to those with CS before spinal surgery or vaginal delivery post-spinal surgery. Despite these study's findings, the overall evidence base remains limited, precluding definitive conclusions. Consequently, the study underscores the importance of multidisciplinary team discussions to formulate optimal treatment strategies for pregnant individuals presenting with CES. This highlights a critical need for further research to expand the knowledge base and improve the guidance available for managing CES in pregnant populations.

show abstract

Section: Reviewmentioning

confidence: 99%

Systematic Review and Critical Appraisal of Cauda Equina Syndrome Management During Pregnancy

Egu,

Akintunde,

Adekoya

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…22,28 The prone position is not recommended beyond 12 weeks of gestation 22,35 without the use of a Relton-Hall laminectomy frame as it can cause abdominal compression, inciting preterm labour. 21,[36][37][38] A left lateral position is preferable for patients in later stages of the second trimester and the third, 28 providing superior surgical exposure while avoiding aortocaval compression. 17,22,29,33,39 Pregnancy is not a contraindication for general or regional anaesthesia.…”

Section: Implications For Practicementioning

confidence: 99%

The Management of Symptomatic Lumbar Disc Herniation in Pregnancy: A Systematic Review

Whiles

Shafafy

Valsamis

et al. 2019

Global Spine Journal

View full text Add to dashboard Cite

Study Design: Systematic review. Objectives: Lumbar disc herniation (LDH) has been reported to affect 1 in 10 000 pregnant women. There is limited evidence available regarding the optimal management of LDH in pregnant patients. We aimed to review the current evidence for the management of symptomatic LDH in pregnancy through critical appraisal and analysis of the available literature. Methods: Searches were conducted in Medline, Embase, PubMed, Science Direct, and The Cochrane Library from inception using predetermined search terms. All peer-reviewed studies of pregnant women with symptomatic LDH were included. The quality of eligible articles was assessed and extracted data and characteristics were pooled for analysis. References cited by studies were screened to identify other relevant publications. Results: Thirty studies involving 52 patients were identified. Compared to surgically managed patients, conservatively managed patients had a higher full recovery rate (61.54% vs 56.41%) and reported a lower rate of persistent symptoms (30.77% vs 38.54%). Compared to patients who were treated surgically for cauda equina syndrome, patients treated surgically for sciatica had a higher full recovery rate (80.95% vs 27.78%) and reported a lower rate of persistent symptoms (14.29% vs 66.67%). Conclusion: There is limited evidence to guide the management of pregnant patients with LDH. Despite a suggestion toward improved outcomes with conservative management, the presence of selection bias and the overall poor quality of current research precludes reliable conclusions from being drawn. Decision making for this patient group should be undertaken within a multidisciplinary setting.

show abstract

The cauda equina syndrome in pregnant woman with a massive disc herniation

Cited by 2 publications

References 9 publications

Systematic Review and Critical Appraisal of Cauda Equina Syndrome Management During Pregnancy

Systematic Review and Critical Appraisal of Cauda Equina Syndrome Management During Pregnancy

The Management of Symptomatic Lumbar Disc Herniation in Pregnancy: A Systematic Review

Contact Info

Product

Resources

About